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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494507
Report Date: 06/24/2020
Date Signed: 07/31/2020 12:35:38 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:INTIWASI EARLY EDUCATION CENTERFACILITY NUMBER:
197494507
ADMINISTRATOR:MIRANDA, ALINAFACILITY TYPE:
850
ADDRESS:9017 W. PICO BLVDTELEPHONE:
(818) 438-5755
CITY:LOS ANGELESSTATE: CAZIP CODE:
90035
CAPACITY:63CENSUS: 0DATE:
06/24/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:06 AM
MET WITH:Karina Torres - ApplicantTIME COMPLETED:
01:30 PM
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On 6/24/2020 Licensing Program Analyst (LPA) Jillinda Chandler and Angelica Ramirez made an announced visit to the Intiwasi Early Education Center for the purpose of conducting an increase in capacity inspection. LPA's met with applicant Karina Torres , Alina Miranda (director) ,Karla Marroquin ( applicants assistant) and Joseph Ilullin (the temples Rabbi).
LPA's were given a tour of the facility grounds.

The center will be located on the premises of the Jewish Educational Movement (J.E.M.) Temple. The class rooms for child care are located on the first floor of the temple. The temple previously housed a charter school (City High School) that closed in 2016 on the same premises. The class rooms used for the charter school will not be used for day care purposes.

LPA's inspected the facility for health and safety compliance per Title 22. The Licensee and directors office were located on opposite sides of the main lobby. The directors office is on the right side; this office will also be used as the centers isolation area, children will have access to the adult rest room during isolation and a napping mat in the directors office will be used for resting. There are five classrooms that will be used for day care purposes; rooms 1 through 5 located in the corridor of the first floor. Class rooms were equipped with the following:
  • Carbon and smoke detectors
  • Covered electrical sockets
  • Age appropriate furniture in good repair
  • Toy, books and other developmental learning equipment
  • Central heating and cooling was observed throughout each class room in addition to air conditioning units and windows for ventilation.
  • Trash cans with tight fitting lids
SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: INTIWASI EARLY EDUCATION CENTER
FACILITY NUMBER: 197494507
VISIT DATE: 06/24/2020
NARRATIVE
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Pg. 2
  • Cubbies for children's belongings
  • Cubbies for toy storage
  • Room 3 - was equipped with a changing table and a sink with in arms reach
  • Room 4 - has an additional room that connects to room 4, at the time of inspection the door to this area was removed allowing open access to room 4. Licensee had not decided how this area would be used, thus there were no equipment or furniture in this room.
  • Room 5 - is the second room on the left side of the corridor. The class rooms has two sections, the first section of the classroom also has an entry that leads to the first room of the corridor; that serves as the teachers lounge. This room was made in accessible to children by a locking door.
  • LPAs observed a first aide kit in the teachers lounge that contained the required the following essentials: bandages, scissors, the applicant was advised to add tweezers and a thermometer.
  • There was a meal prepping area; meals will be provided by an out side vendor.
  • There were two rest rooms, separated by the adult restroom; restroom #1 had two toilets and two sings, restroom #2 had three toilets and two sinks.
  • There is a storage room located within restroom #2 LPA's observed napping mats in good repair, inside the storage room. Applicant was reminded this room shall be inaccessible to children at all time and advised that there be an alerting devise added for extra precautions.
  • LPAs observed stair cases on both sides of the lobby and at end of the corridor. The was informed that these stair cases were to be made inaccessible to children at all times.
  • Fire extinguishers were located in the lobby and at the end of the corridor, they were last inspected 12/23/2010 and are inspected annually per the director.
  • The emergency exit is located at the end of the corridor. LPAs advised that an alerting devise be added to this door due to the push bar opening mechanism that leads to an alley behind the temple.

OBSERVATIONS OF THE OUT DOORS ACTIVITY AREA WERE AS FOLLOWS:
  • There were no toys observed during the inspection
  • There was a large climbing with resilient cushioning in good repair beneath it.
  • A sand box with a cover
  • A crawl tube
  • Shading
SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2020
LIC809 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: INTIWASI EARLY EDUCATION CENTER
FACILITY NUMBER: 197494507
VISIT DATE: 06/24/2020
NARRATIVE
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  • LPAs observed several un-occupied classrooms on the first and second levels of the building. These class rooms will not be used for day care activities and will be available for inspection upon request (see declaration in local file). Applicant was advised that the stair cases leading to the upper level shall be barricaded and made inaccessible to day care children at all times
  • LPAs observed a locker area on the west side of the play area, with two gender identified rest rooms with an emergency exit lead to the main highway with a push bar exit door. LPAs advised applicant that this area shall have a non-permanent barricade or consistent supervision( for emergency purposes) in an effort to ensure visual supervision at all times. This area was not included in the schools capacity calculations.
  • Sign in and out: On the east side of the play yard there was an gate (approximately 7-8 feet tall) with an gated entry doorway that lead to the alley behind the facility; applicant plans to use this as the point of contact for parents to drop off and pick up their children using one staff member to have parents to sign children in or out and another to escort the children to there assigned classrooms. LPAs advised that an alerting devise also be added to this exit due to the push bar mechanism.
  • Applicant has a pending out door activity space waiver request on file. Licensure will be adjusted considering the approval or denial of the waiver.A copy of this report will be emailed to the applicant for review, due to covid - 19 restrictions.


A confirming response to the email will ensure signature and confirmation of visit. A certified hard copy will also be mailed for an original signature and returned to the regional office to be placed in the local file.
SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2020
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: INTIWASI EARLY EDUCATION CENTER
FACILITY NUMBER: 197494507
VISIT DATE: 06/24/2020
NARRATIVE
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Pg. 3
Capacity Work Sheet
FACILITY NUMBER: 197494507FACILITY NAME     Intlwasi Early Education Center
FACILITY ADDRESS : 9017 Pico Blvd. Los Angles, CA. 90035
THIS FORM IS INTENDED TO HELP DETERMINE AND DOCUMENT THE MAXIMUM CAPACITY FOR A CHILD CENTER BASED ON INDOOR/OUTDOOR SPACE AND TOILET/SINK RATIO IN THE FACILITY.  THIS SHEET SHOULD BE USED DURING THE PRELICENSING VISIT. MAXIMUM CAPACITY SHOULD ALSO BE DOCUMENTED ON THE LICENSING REPORT (LIC 809) AND THE FACILITY SKETCH.  THIS WORKSHEET SHOULD BE FILED WITH THE FACILITY SKETCH.
I.  INDOOR PLAY SPACE (Do not include unsupervised small areas)         
  ROOM NUMBER/DESCRIBELENGTHWIDTHAREAENCUMBEREDSPACE
1. ROOM 1
19.5
16.8
327.6
327.6
2. ROOM 2
28.1
19.7
553.57
553.57
3. ROOM 3
19.8
17.2
340.56
340.56
4. ROOM 4
40.5
29
1174.5
1174.5
5. ROOM 5
22.5
20
450
450
0
0
……………………………………………………………...……………………….
2846.23
INDOOR CAPACITY (SPACE)
2846.23
  Divided by 35 (SQ. FEET) EQUALS     (A)        
81.32086
II.  OUTDOOR PLAY SPACE
  ROOM NUMBER/DESCRIBELENGTHWIDTHAREAENCUMBEREDSPACE
1. OUTDOOR ACTIVITY
80.3
45
3613.5
3613.5
2
0
0
3
0
4
0
0
5
0
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0
0
TOTAL SPACE………………………….……………………………………………………………...……………………….
3613.5
OUTDOOR CAPACITY (SPACE)
3613.5
  Divided by 75 (SQ. FEET) EQUALS     (A)        
48.18
III. SINK/TOILET RATION
1.   SINKS AVAILABLE TO CHILDREN
4
MULTIPLIED BY 15 EQUALS       (C)
60
2.  TOILETS/URINALS AVAILABLE
5
MULTIPLIED BY 15 EQUALS       (D)
75
(TWO TOILETS TO EACH URINAL)
IV  CAPACITY LIMITATIONS
1.  CAPACITY BASED ON INDOOR SPACE(A)
81.32
2. CAPACITY BASED ON OUTDOOR SPACE(B)
48.18
3.  CAPACITY BASED ON SINKS(C)
60
4.  CAPACITY BASED ON TOILETS/URINALS(D)
75
5.  CAPACITY APPROVED BY FIRE MARSHALL(E)
6.  MAXIMUM CAPACITY (LEAST OF THE ABOVE)
48
EVALUATOR
Jillinda Chandler DATE COMPLETEDJune 29.2020
SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2020
LIC809 (FAS) - (06/04)
Page: 4 of 4